Patient Financial Services Representative - TEKsystems

Description:

The Patient Financial Specialist is responsible for providing patients with a positive financial experience by helping patients navigate and understand insurance benefits and potential financial liability. The Patient Financial Specialist collects payments, sets up payment arrangements as appropriate, responsible for accounts receivable functions to ensure maximization of cash flow while improving patient, physician, and other customer relations, answers inbound calls to assist patients and staff with billing questions, insurance follow up & claim denial inquiries/correspondence.

• This position works within the operations of the billing department, and will be responsible for patient accounts receivable follow-up and collections.

• Identifies and resolves any patient billing related problems, denials, and insurance company follow up

• This position will evaluate unpaid accounts. Works with the collection agency and small-claims court action accounts. Collects delinquent accounts, establishes payment arrangements with patients, and follows up to ensure that delinquent accounts are being paid.

• Responsible for Point of Service Collections for patient outstanding balances.

• Responsible for setting up payment plans within practice guidelines for patients who cannot pay balance in full.

• Support for insurance network & coverage questions

• Communicates with patients to identify and understand financial, social, and other relevant patient information

• Assesses the current financial situation of patients through the verification of patient insurance benefits

a. Determine the patient’s financial ability to pay and explain insurance coverage and benefits to the patient.

b. Initiate the financial screening process as appropriate to evaluate eligibility for assistance programs

• Explain WHS payment policy to patients if a program is not available. Calculate and explain any patient liability before or at the time of service.

• Counsel patients on out of pocket liabilities. Collect deductibles, pre-payments, and outstanding balances following established collection procedures

• Maintains daily contact with other WHS departments, various third-party agencies, HMO/PPO’s, patients, their families, physicians, offices and other outside entities as needed.

• Assures proper financial classification, determines proper guarantor and updates system accordingly

• Consistently interacts with sensitivity to patients/their families and is responsive to individual needs

• Receives and places telephone calls in a skillful manner using appropriate etiquette, including but not limited to courtesy, accuracy and respect for confidentiality

• Alerts Manager to patterns in problem areas in order to initiate situation resolution

• Obtains patient demographic data not captured during scheduling process, which is necessary for claims processing

• Actively participates in and encourages others to utilize creative and innovative approaches to accomplish tasks

• Demonstrates responsibility for ongoing personal development, professional growth and continuing education

• Ensures that routine and priority tasks are completed within established departmental time frames

• Demonstrates a clear understanding of and consistently adheres to department and facility policies and procedures

• Attends and actively participates in department and facility meeting and classes

• Follows safety procedures, operates equipment and performs job related duties in a safe manner which prevents accidents from occurring

• Participates in process improvement strategies and projects

• Other duties, as assigned

Skills:

Epic, customer service, collections customer service, collections, accounts receivable, billing collections, insurance verification, call center

Additional Skills & Qualifications:

• Understanding of EPIC billing screens

• Has an expert level of knowledge regarding insurance benefits, coordination of benefits, insurance verification, benefits investigation and payer network participation.

• Working knowledge of common office computer programs; Word, Excel, Internet

• Ability to read and explain an explanation of benefits form from insurance carriers

• Ability to educate patients regarding their individual benefit plan, the practice Financial Policy, and our expectations regarding patient financial responsibility.

• Have ability to communicate effectively and assertively while demonstrating compassion and empathy for patient’s individual situations

• Ability to work independently in high volume, fast-paced, multi-tasking environment

• Ability to be flexible in response to unexpected changes in workload, staffing and scheduling

• Strong communication skills; both written and verbal

• Strong understanding and knowledge of HIPAA

• High attention to detail and strong problem solving skills

Experience Level:

Intermediate

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.